Individual
MACKENZIE SUTTLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 KENNESAW AVE NW, MARIETTA, GA 30060-1051
(770) 485-3224
Mailing address
800 KENNESAW AVE NW, MARIETTA, GA 30060-1051
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC011822
GA
101Y00000X
Counselor
—
GA
Other
Enumeration date
04/06/2021
Last updated
04/19/2021
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